Applying an intersectionality lens to the theoretical domains framework: a tool for thinking about how intersecting social identities and structures of power influence behavior
Three highlights:
The Theoretical Domains Framework (TDF) was selected to be enhanced to incorporate an intersectional lens because it is widely used by practitioners, generalizable to multiple settings, and easy to understand. To make this selection, the modified Delphi approach was conducted with a committee that had 17 members with expertise in knowledge translation (KT) or intersectionality. It involved two rounds of prioritization, and a final majority vote.
A subgroup of this committee informed the development of the enhanced TDF, which is comprised of 53 prompts to guide interviews or questionnaires using an intersectional lens. The prompts were distributed across all of the theoretical domains with a median of 3 considerations or questions per domain. Consensus on this intersectionality enhanced TDF was achieved after twelve rounds of revision.
The intent of developing the intersectionality enhanced TDF is for researchers, practitioners, and policymakers engaging in KT to be able to use the tool as a guide for incorporating intersectionality into their work. It is not meant to replace the TDF, but rather, augment it by providing complementary options, particularly when a problem or intervention may be affected by intersecting categories and social structures.